Provider Demographics
NPI:1902686470
Name:FURBISH, CATHERINE JOHNSON (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JOHNSON
Last Name:FURBISH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 IDAHO AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3628
Mailing Address - Country:US
Mailing Address - Phone:615-944-5846
Mailing Address - Fax:
Practice Address - Street 1:4504 IDAHO AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3628
Practice Address - Country:US
Practice Address - Phone:615-944-5846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN68091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical